KENNESSE DEW (NPI# 1306496229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306496229 |
| Entity Type | Individual |
| Full Name | KENNESSE DEW |
| Practice Address |
10611 Nw Sr 20 Bristol FL 32321 |
| Mailing Address |
6314 Birchwood Rd Marianna FL 32448-5202 |
| Practice Telephone | 8506431033 |
| Practice Fax Number | 8506435066 |
| Mailing Telephone | 8502725764 |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2019-09-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | ISW13452 | FL | Behavioral Health & Social Service Providers |
| Street Address |
10611 NW SR 20 |
| City | BRISTOL |
| State | FL |
| Zip Code | 32321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992040034 | Heather Montford King | Social Worker | 10611 Nw Sr 20, Bristol, FL 32424 | 2012-11-30 |
| 1174138697 | Jateasia Ashley Littles | Counselor | 10611 Nw Sr 20, Bristol, FL 32321 | 2020-09-11 |
| 1124633888 | Taneja Rodgers | Social Worker | 10611 Nw Sr 20, Bristol, FL 32321 | 2020-09-10 |
| 1205459583 | Tai Zimmerman Cole | Social Worker | 10611 Nw Sr 20, Bristol, FL 32424 | 2020-05-21 |
| 1528606233 | Damien Bentley | Social Worker | 10611 Nw Sr 20, Bristol, FL 32321 | 2019-12-12 |
| 1699318196 | Kiersten Elizabeth Mitchell | Counselor | 10611 Nw Sr 20, Bristol, FL 32321-3232 | 2019-10-28 |
| 1467094128 | Etheldra A Green | Social Worker | 10611 Nw Sr 20, Bristol, FL 32321-3232 | 2019-10-15 |
| 1609424100 | Jessica Michelle Shearer | Social Worker | 10611 Nw Sr 20, Bristol, FL 32321 | 2019-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649739194 | Amberly Portero | Counselor | 10611 Florida Highway 20, Bristol, FL 32321 | 2019-03-14 |
| 1194281121 | Ash Bailey Smith | Social Worker | 10659 Nw Sr 20, Bristol, FL 32321 | 2019-02-14 |
| 1508295692 | Maggie Chavez | Counselor | 12422 Ne Revell Road, Bristol, FL 32321 | 2013-11-08 |
| 1437586609 | Queen Brown Haven Assisted Living Facility | Assisted Living Facility | 6906 Nw Torreya Park Road, Bristol, FL 32321 | 2013-10-03 |
| 1538400072 | Ruby Lee Varnum | Assisted Living Facility | 12167 Nw Freeman Rd, Bristol, FL 32321 | 2013-03-08 |
| 1417233321 | April Dawn Landrum | Case Management | 13888 Nw Cr 12, Apalachee Center, Inc., Bristol, FL 32321 | 2011-10-25 |
| 1417191107 | Elizabeth Stephanie Hofrichter | Social Worker | 11033 Nw Sr 20, Bristol, FL 32321 | 2009-04-24 |
| 1275734881 | Efren L Baltazar | Obstetrics & Gynecology | 2571 Executive Center Circle East, Howard Building Division of Disability Determination, Tallahassee, FL 32321 | 2007-05-30 |
| 1336260322 | Laban Bontrager | Dentist | 12761 Ne Pea Ridge Rd, Bristol, FL 32321 | 2007-04-03 |
| 1225192404 | Liberty County School Board | Local Education Agency (LEA) | 12926 Nw Cr 12, Bristol, FL 32321 | 2006-12-21 |
| Find all providers in zip 32321 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205440120 | Lavonne Womack | Social Worker | 1325 Farmington Ave Apt 12, Bristol, CT 06010-4774 | 2020-09-08 |
| 1235658147 | Leah Elizabeth Cohen | Social Worker | 100 Green Ln Ste 2, Bristol, PA 19007 | 2017-09-12 |
| 1316075468 | Sharon Kay Good | Social Worker | 498 Industrial Drive, Bristol, TN 37620 | 2007-03-01 |
| 1538218805 | Kelly Anne Mangiafico | Social Worker | 1098 Farmington Ave, Bristol, CT 06010-4705 | 2007-01-09 |
| 1477565596 | Freida A Crutchfield | Social Worker | 26 Midway, Bristol Regional Counseling Ctr, Bristol, TN 37620 | 2006-08-13 |
| 1649221011 | Twin Oaks Juvenile Development, Inc | Social Worker | 11939 Nw State Road 20, Bristol, FL 32321-3416 | 2006-05-12 |
| 1285619346 | Patricia Logan Richard | Social Worker | 440 D N Main St, Bristol, CT 06010 | 2005-12-13 |
| 1295334241 | Tracey Marie Aittama | Social Worker | 10611 Nw State Road 20, Bristol, FL 32321-3441 | 2020-10-21 |
| 1144828856 | Joshua Zinz Ginsburg | Social Worker | 10611 Florida Highway 20, Bristol, FL 32321 | 2020-10-14 |
| 1124638481 | Shannon Rebecca Walsh | Social Worker | 10 N Main St, Bristol, CT 06010-8122 | 2020-08-03 |
| Find all providers in BRISTOL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.